IRO - USAC - Online form questions

Mandatory sections are marked with *

First name(s)*

Last name(s)*

Enter username*

Enter password*

Confirm password*

Sex* (used for statistical purposes only)

Address

Telephone number

Fax number

E-mail address* ("this e-mail address will be used to inform you of future activities within the U.S. Affiliates Community should you choose so at the end of the form")

Area(s) of expertise* ("This may or may not coincide with the specific field of study within your alumni program, e.g. "project management; international relations; educational policy".)

I am an alumnus/alumna of *

Full name of institution*

Full name of program*

Time of attendance of the program (MM/YY-MM/YY)*
from: / to: /

Location(s) of attendance of the program*

City

Country

State

Type of program:*

Field of study

I am a member of the following alumni organization(s): (leave blank if not applicable)

I am currently:

Box for additional info

Would you like to receive e-mail updates of latest U.S. Affiliates Community Forum posts and upcoming U.S. Affiliates Community activities?*

Would you like to be available for e-mail enquiries from interested individuals or institutions about your alumni program, field of study and/or main area(s) of expertise?*

Online form questions - individuals